Delisa Caudill, APRN - Medicare Nurse Practitioner in Prestonsburg, KY

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Delisa Caudill, APRN is a medicare enrolled "Nurse Practitioner" in Prestonsburg, Kentucky. Her current practice location is 5322 Ky Route 321, Prestonsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 886-2712.

Delisa Caudill is licensed to practice in Florida (license number APRN11033598) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629471602.

Contact Information

Delisa Caudill, APRN
5322 Ky Route 321,
Prestonsburg, KY 41653-9114
(606) 886-2712
(606) 886-2713

Map and Direction




Provider's Profile

Full NameDelisa Caudill
GenderFemale
SpecialityNurse Practitioner
Location5322 Ky Route 321, Prestonsburg, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629471602
  • Provider Enumeration Date: 10/03/2014
  • Last Update Date: 06/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4880816784
  • Enrollment ID: I20241029004682

Medical Identifiers

Medical identifiers for Delisa Caudill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629471602NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11033598 (Florida)Primary
363LF0000XNurse Practitioner - Family 3008916 (Kentucky)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Delisa Caudill allows following entities to bill medicare on her behalf.
Entity NameIntercoastal Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578537767
PECOS PAC ID: 6305730912
Enrollment ID: O20040212000600

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Delisa Caudill is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Delisa Caudill, APRN
943 S Beneva Rd Ste 306,
Sarasota, FL 34232-2499

Ph: (941) 955-1108		Delisa Caudill, APRN
5322 Ky Route 321,
Prestonsburg, KY 41653-9114

Ph: (606) 886-2712

Reviews and Comments


Nurse Practitioner Nurses in Prestonsburg, KY

Zelda Mcintosh,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Loni Lucas, BSN, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 859-533-8959    
Diana Lynn Herald, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Mrs. Beverly Jane Daniel, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5230-ky-321#8, Prestonsburg, KY 41653
Phone: 606-789-7587    
Lindsay Michelle Burroughs, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433
Jayme Lynn Rice,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653
Phone: 606-886-8511    
Angela M Campbell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 S Front Ave, Prestonsburg, KY 41653
Phone: 606-886-8572    Fax: 606-886-4433

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.